Individual provider Active NPI

Nathanial Frederick Lynott, D.C., L.AC

  • Chiropractor
  • Long Beach, CA
National Provider Identifier
1154594570
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29170 Issued in CA
Practice address
5512 E Britton Dr
Suite 100
Long Beach, CA 90815-3146
Phone
(562) 594-6644
Fax
(562) 594-6114
NPI assigned
Apr 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC11500 CA
Chiropractor 111N00000X DC29170 CA Primary

Addresses

Primary practice location

5512 E Britton Dr
Suite 100
Long Beach, CA 90815-3146

Mailing address

5512 E Britton Dr
Suite 100
Long Beach, CA 90815-3146
Phone (562) 594-6644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050810000724 CA Practitioner - Chiropractic 0648209668 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5512 E Britton Dr
Suite 100
Long Beach, CA 90815-3149
Phone (562) 594-6644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC29170CAMDChiropractor
AC11500CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Lynott Chiropractic, Inc Acupuncturist Current Accepting new patients
Beach Physical Medicine PC CurrentSince Oct 14, 2022 Accepting new patients
Lynott Chiropractic Inc Chiropractor CurrentSince Dec 16, 2005 Accepting new patients

Locations

5512 E Britton Dr
Ste 100
Long Beach, CA 90815
Phone (562) 594-6644

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1154594570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5512 E BRITTON DR",
            "address_2": "SUITE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153146",
            "telephone_number": "562-594-6644",
            "fax_number": "562-594-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5512 E BRITTON DR",
            "address_2": "SUITE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153146",
            "telephone_number": "562-594-6644",
            "fax_number": "562-594-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNOTT",
        "first_name": "NATHANIAL",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "D.C., L.AC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-07",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11500",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.